Not-for-Profit Pediatric Speech, Language & Reading Therapy Services


In order to begin therapy, we will need to obtain some information from you, including a confidential case history, release of information form, our business policy/financial agreement, and our privacy policy. List below is checklist for your convenience.

You may mail these to us or bring them to the first visit or fax them to 770.209.2535. Your child’s file must be complete with all items prior to evaluation or starting therapy.

  1. Most Recent Speech Evaluation less than 12 months old.
  2. Case History Form (PDF 682K)
  3. Release of Information Form (PDF 289K)
  4. Business Policy / Financial Agreement (PDF 167K)
  5. Privacy Policy (PDF 208K)

“Throughout the process, I was very impressed with the personal care and attention given each child. Rather than feeling “tested”, they came away from the time encouraged and motivated to keep learning/improving in their abilities.”

CAROL IVERSON | Principal | Covenant Community School International[/quote]